Providers
All 10 in FL
LEIGH ANN TESAR, ARNP
NPI 1356645972, individual, Bradenton, FL, Nurse Practitioner, NPI deactivated 2019-03-21
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 7 months, but with up to 298 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 50 of 100, rank 9459, $210K at stake
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Apr 2022 | More hours than a day holds at a conservative unit price | 8.3 | 38.3 | 25.5 | 36.5 | 171 | 1 | 99308 99309 | $12K |
| May 2022 | More hours than a day holds at a conservative unit price | 8.3 | 41.0 | 27.3 | 38.5 | 209 | 1 | 99308 99309 | $14K |
| Jul 2022 | More hours than a day holds at a conservative unit price | 16.8 | 58.9 | 39.3 | 57.9 | 298 | 1 | 99307 99308 99309 99310 | $20K |
| Aug 2022 | More hours than a day holds at a conservative unit price | 12.7 | 43.3 | 28.9 | 38.9 | 217 | 1 | 99308 99309 | $15K |
| Sep 2022 | More hours than a day holds at a conservative unit price | 14.0 | 46.8 | 31.2 | 42.6 | 258 | 1 | 99308 99309 99310 | $15K |
| Oct 2022 | More hours than a day holds at a conservative unit price | 12.9 | 57.3 | 38.2 | 56.3 | 202 | 1 | 99308 99309 | $19K |
| Jan 2023 | More hours than a day holds at a conservative unit price | 10.8 | 40.1 | 26.7 | 37.6 | 172 | 1 | 99308 99309 | $14K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | LEIGH ANN TESAR, ARNP (also LEIGH OSBORN) |
| Type | Individual |
| Status | Active |
| NPI issued | December 23, 2010, last updated May 22, 2024 |
| Practice location | 8614 STATE ROAD 70 E STE 104, Bradenton, FL 34202-3710, 941-216-3800 |
| Mailing address | 6643 38TH LN E, Sarasota, FL 34243-7962 |
| Specialties | Nurse Practitioner, Family (363LF0000X, license APRN9217888 FL) Nurse Practitioner (363L00000X, primary, license APRN9217888 FL) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $181K | 61% | $53 | $21 (top 5% from $84) | 88th percentile | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $98K | 33% | $28 | $14 (top 5% from $58) | 80th percentile | |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $9K | 3% | $27 | $30 (top 5% from $134) | 45th percentile | |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | $4K | 1% | $17 | $7.86 (top 5% from $34) | 83rd percentile | |
| 99491 | Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month | $3K | 1% | $2.99 | $4.44 (top 5% from $93) | 44th percentile | |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | $1K | 0% | $13 | $37 (top 5% from $218) | too few months to rank | |
| 99358 | Medicaid service code | $791 | 0% | $4.91 | $18 (top 5% from $94) | 22nd percentile | |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | $621 | 0% | $7.22 | $30 (top 5% from $115) | too few months to rank |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| Q4275 | Esano aca, per square centimeter | 2,176 | 14 | $4.5M | $3K | $3K | 1.1x | 1.0x (90th percentile 1.1x) |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 2,132 | 273 | $97K | $143 | $61 | 2.3x | 2.0x (90th percentile 3.4x) |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 995 | 234 | $90K | $227 | $127 | 1.8x | 2.0x (90th percentile 3.4x) |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 710 | 203 | $46K | $178 | $88 | 2.0x | 2.0x (90th percentile 3.3x) |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 440 | 95 | $12K | $86 | $33 | 2.6x | 2.4x (90th percentile 4.1x) |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 65 | 11 | $6K | $200 | $123 | 1.6x | 2.5x (90th percentile 5.3x) |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 69 | 38 | $6K | $158 | $106 | 1.5x | 2.0x (90th percentile 3.4x) |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more | 37 | 37 | $4K | $376 | $151 | 2.5x | 1.9x (90th percentile 3.1x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
10 providers in Manatee County, FL carry an indicator in the public record, with $6.4M at stake between them. The most common is part of a provider network, on 5 of them, followed by more hours than a day holds on 5.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | LEGACY HOLDINGS AND VENTURES LLC Bradenton, FL, ranked 2824 | $0 |
|
| 3 | FAMILY HOME HEALTH SERVICES LLC Bradenton, FL, ranked 4470 | $0 |
|
| 3 | PROVIDIA HOME CARE LLC. Bradenton, FL, ranked 5273 | $0 |
|
| 3 | AFFINITY CARE OF MANATEE COUNTY LLC Bradenton, FL, ranked 5350 | $0 |
|
| 3 | HOME CARE OF TAMPA BAY, LLC Palmetto, FL, ranked 6022 | $0 |
|
| 4 | FEDERICO FRIAS Bradenton, FL, ranked 7701 | $1.9M |
|
| 4 | STEVEN RIPPY Bradenton, FL, ranked 7782 | $1.3M |
|
| 4 | RAUL CORREA Bradenton, FL, ranked 9195 | $532K |
|
Recent enforcement in FL
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJPleaded guiltyAug 14, 2026
Ocala Mental Health Counselor Pleads Guilty to Aggravated Identity Theft and Wire Fraud
Forsythe used the names and insurance policy information of 22 individuals without their consent to bill two health insurance companies for counseling services she had not provided.
DOJConvictedAug 12, 2026
Cuban National Convicted of Unlawfully Obtaining US Citizenship After Concealing Healthcare Fraud Scheme
Rodriguez concealed on her naturalization application her participation in a seven-year healthcare fraud conspiracy that resulted in approximately $4.6 million in fraudulent healthcare claims.
DOJCivil settlementAug 3, 2026
Medicare Advantage Provider Complete Health to Pay $14,100,000 to Settle False Claims Act Suit
Complete Health caused the submission of diagnosis codes within HCC 55 and HCC 59 that were not clinically valid, not supported by medical records, and/or not considered in the beneficiary's care, increasing Medicare Advantage risk-adjusted payments from which it received a percentage.
DOJCivil settlementJul 31, 2026
Two Additional Ophthalmology Practices Agree to Pay $2.3M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds
Two ophthalmology practices billed Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds premised on false diagnoses, with one practice receiving remuneration from a third-party testing company to refer patients for the tests.
DOJCivil settlementJul 31, 2026
Two Additional Ophthalmology Practices Agree to Pay $2.3M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds
Two ophthalmology practices billed Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds premised on false diagnoses and, as to Floral Park Ophthalmology, resulting from remuneration paid by a third-party testing company to induce referrals.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.